基于斯金纳强化理论的健康教育在胃癌根治术患者呼吸功能训练中的应用

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Abstract Objective To explore the effect of health education based on Skinner’s reinforcement theory on rehabilitation self-efficacy and compliance of respiratory function training in patients after radical resection of gastric cancer. Methods A total of 140 cases of elective radical gastric cancer patients who were admitted to the Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University from July 2017 to June 2018 were selected. According to the random number table method, they were randomly divided into control group and treatment group, with 70 cases in each group. The control group was given regular health education for respiratory function training, and the treatment group was given health education based on Skinner’s reinforcement theory. After six months of follow-up, the two groups’ rehabilitation self-efficacy, respiratory function training compliance, lung function were compared. Results After six months of follow-up, 64 cases in the treatment group and 61 cases in the control group were completed. The rehabilitation training self-efficacy scores of the two groups were higher than those before the same group (P ＜ 0.01). The total scores of rehabilitation training and skill training, symptom self-management, coping with treatment side effects, daily life management, rehabilitation information acquisition and application, and self-efficacy of the treatment group were higher than those of the control group (P ＜ 0.01); the respiratory function training compliance scores of the two groups were higher than those before education (P ＜ 0.01), the total scores of respiratory function exercise compliance, respiratory function exercise precautions compliance, active seeking advice, and respiratory function exercise compliance in the treatment group were higher than those in the control group (P ＜ 0.01); the lung function indexes of the two groups were lower than those before education (P ＜ 0.01), vital capacity, forced expiratory volume in the 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC in the treatment group were higher than those in the control group (P ＜ 0.01). Conclusion Health education based on Skinner’s reinforcement theory is helpful to promote the development of self-efficacy in patients after radical resection of gastric cancer, improve respiratory function training compliance behavior, and improve patients’ lung function.

Key words： Radical resection of gastric cancer Health education Reinforcement theory Rehabilitation self-efficacy Respiratory function training

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	LIU Lili SUN Ying JIANG Huiye

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LIU Lili SUN Ying JIANG Huiye. Application of health education based on Skinner’s reinforcement theory in respiratory function training of patients after radical resection of gastric cancer[J]. 中国医药导报, 2021, 18(11): 176-180.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I11/176

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